MEDICARE: DR. AARON TODD BALLOU PHARM.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	17744	AL

General Provider Information

NPI Number	:	1407251614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AARON TODD BALLOU PHARM.D

Provider Business Mailing Address
First Line	:	1300 ESSEX MANOR CIR
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-8100
Country	:	US
Telephone Number	:	270-634-2650
Fax Number	:

Provider Business Practice Location Address
First Line	:	708 MONTGOMERY HWY
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35216-1812
Country	:	US
Telephone Number	:	205-979-2180
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2014
Last Update Date	:	10/30/2014

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